Treatment For Antisocial Personality Disorder

Antisocial personality disorder (ASPD) or sociopathy is a mental health condition characterized by disregard for others’ rights, rules, and norms. People with this disorder often have a criminal record or engage in criminal behavior, lying, and manipulation for their gain. It can lead to strained relationships, legal problems, drug abuse, and a lack of empathy.

Living with ASPD can be difficult, but treatment can help manage the symptoms and improve the quality of life. There is no one cure for ASPD, but various types of therapies can help people with the condition.

Therapies for Antisocial Personality Disorder

Therapies can help individuals with ASPD develop empathy, improve relationships with others, and change their problematic behavior.

Cognitive-behavioral therapy (CBT)

CBT is a short-term therapy that focuses on identifying negative thought patterns, beliefs, and behaviors that contribute to the disorder. The therapist then tries to challenge these patterns of thinking that lead to destructive behavior.

During CBT, individuals with ASPD learn problem-solving, anger management, and impulse control techniques. They also develop social skills and empathy through role-playing and role modeling. CBT helps individuals gain insight into their behavior and take responsibility for their actions.

Dialectical behavior therapy (DBT)

DBT is a type of CBT designed to help individuals with ASPD regulate their emotions and improve relationships. It focuses on the following four key skills:

  • Mindfulness: Paying attention to the present moment and accepting it without judgment.
  • Distress tolerance: Developing techniques to cope with distress and learn to tolerate negative emotions.
  • Emotion regulation: Identifying and regulating emotions that lead to impulsive behavior.
  • Interpersonal effectiveness: Developing skills to communicate better and maintain healthy relationships with others.

DBT helps individuals reduce impulsive behavior and develop better emotional control, increasing their ability to tolerate emotional stress.

Schema-focused therapy (SFT)

SFT is a longer-term therapy that helps people with ASPD change negative and self-destructive beliefs. Individuals with ASPD often have core beliefs that interfere with their relationships and success, such as “people are not trustworthy” or “I am better than others.” SFT helps patients understand how these beliefs developed and how they affect their behavior.

SFT aims to develop healthy beliefs such as “I can trust others” and “I can make mistakes without feeling inadequate,” decreasing the likelihood of impulsive behavior and criminal activity.

Medications for Antisocial Personality Disorder

No medication can treat ASPD directly, but doctors may prescribe medications to manage symptoms related to the condition.

Antipsychotic medication

Antipsychotic medication helps manage psychosis, a condition in which an individual experiences delusions or hallucinations. People with ASPD may be more likely to experience psychosis, and antipsychotic medication can help manage these symptoms.

Mood stabilizers

Mood stabilizers such as lithium and valproic acid can help manage impulsive behavior, which is often a symptom of ASPD. These medications help regulate mood and decrease irritability and aggressive behavior.

The Role of Support Systems

Support systems, including family, friends, and caregivers, play an essential role in treating people with ASPD. They can help provide emotional and moral support, keep individuals motivated, and help them stay on track with their treatment.

Support systems can also help individuals with ASPD improve their social skills, such as how to communicate effectively and resolve conflicts. They can help teach new coping mechanisms and strategies to manage their impulses and violent behavior.


Antisocial personality disorder can severely impact an individual’s life and those around them. However, with proper treatment and support systems, individuals with ASPD can manage their symptoms, improve their relationships with others, and learn new skills to regulate their emotions.

No single treatment works for everyone with ASPD, and it is essential to find the right treatment plan for each individual. A combination of therapies, medications, and support systems can help people with ASPD overcome their disorder’s negative effects and lead a more fulfilling life.


What is Antisocial Personality Disorder?

Antisocial Personality Disorder (ASPD) is a mental illness that affects a person’s ability to understand and respect the rights of other people. People with ASPD may lie, act impulsively, engage in illegal activities or be violent towards others, without feeling any remorse or guilt. This disorder can severely impact their relationships, jobs, and general wellbeing.

What is the treatment for Antisocial Personality Disorder?

There is no specific medication for treating ASPD, but psychotherapy can be effective in managing it. Cognitive-behavioral therapy (CBT) can help individuals with ASPD develop better social and coping skills, improve their communication and decision-making abilities, and regulate their emotions. Additionally, group therapy and family therapy can also be beneficial. It is imperative to have a professional mental health team in place to provide long-term monitoring and counseling.

Can people with Antisocial Personality Disorder recover?

Recovery from ASPD is not guaranteed, as it is a chronic and pervasive disorder. However, with proper diagnosis, treatment and support, individuals with ASPD can learn to manage their symptoms and develop the skills needed to maintain better relationships and a meaningful life for themselves and others. It is important to remember that change takes time and that an individual’s progress can vary and differ over time.


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2. Salekin, R. T., & Lynam, D. R. (Eds.). (2010). Handbook of child and adolescent psychopathy. Guilford Press.

3. Blais, M. A., Baity, M. R., & Hopwood, C. J. (2011). Treatment for antisocial personality disorder: Treatment matching and outcome. Journal of personality disorders, 25(6), 782-802.